A nurse is caring for a client who has chlamydia and a new prescription for azithromycin. Which of the following information should the nurse include when reinforcing teaching about this medication?

Notify your provider if you experience a sore throat or fever while taking this medication.

Urine that is dark yellow or orange is an expected adverse effect of this medication.

Take the medication with an antacid to decrease stomach upset.

You might experience bleeding gums while taking this medication.

Answer and Explanation

The Correct Answer is A

A.   Azithromycin is an antibiotic commonly used to treat infections such as chlamydia. While it's generally well-tolerated, it can rarely cause serious side effects such as allergic reactions or severe skin reactions. Sore throat or fever may indicate such adverse effects, and patients

should be instructed to contact their healthcare provider immediately if they experience these symptoms.
B.   Dark yellow or orange urine is not a typical side effect of azithromycin. It can be caused by drugs such as rifampin.
C.   Taking azithromycin with an antacid is generally not necessary and may interfere with the absorption of the medication. It's usually recommended to take azithromycin on an empty stomach, at least 1 hour before or 2 hours after meals, unless otherwise directed by a healthcare provider.
D.   Bleeding gums are not a common side effect of azithromycin. If a patient experiences unusual bleeding or bruising, they should seek medical attention, but this symptom is not specifically associated with azithromycin use.

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Correct Answer is B

Explanation

A. It is generally advised to use additional forms of contraception or abstain from sexual activity for the first 7 days of the initial cycle.
B. If a pill is missed, the client should follow the specific instructions provided by the healthcare provider or the information leaflet, which typically involves taking the missed pill as soon as remembered and then continuing with the next dose at the regular time. Missed pills should be taken as soon as remembered, even if it means taking two pills in one day, and additional contraceptive measures may be necessary.
C. Increasing the dosage of an estrogen-progestin combination contraceptive for breakthrough bleeding is not a standard recommendation as this could lead to an increased risk of side effects. Breakthrough bleeding may occur, especially during the first few cycles of use, but it typically resolves on its own without the need for dosage adjustment.
D. There's no specific requirement to take combination contraceptives on an empty stomach. They can be taken with or without food, according to individual preference, but should be taken consistently at the same time each day to maximize effectiveness.

A. Postpartum infection B. Hypertension C. Postpartum hemorrhage D. Thromboembolic events

Correct Answer is C

Explanation

A. Methylergonovine is not indicated for preventing postpartum infections. Its primary action is on uterine smooth muscle to induce contractions, rather than having antimicrobial properties.
B. While methylergonovine can cause hypertension as a side effect, it's not used to prevent hypertension. It is used primarily to prevent or treat postpartum hemorrhage by promoting uterine contraction.
C. Methylergonovine is a uterotonic medication used to prevent or treat postpartum hemorrhage by causing uterine contractions, thereby reducing the risk of excessive bleeding after childbirth.
D. Methylergonovine does not prevent thromboembolic events; its mechanism of action primarily involves stimulation of uterine smooth muscle contraction rather than affecting blood coagulation.

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A nurse is caring for a client who has chlamydia and a new prescription for azithromycin. Which of the following information should the nurse include when reinforcing teaching about this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for an estrogen- progestin combination contraceptive. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following?

Correct Answer is C

Explanation

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

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